Individual
JENNIFER MICHELLE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSR, LD
Contact information
Practice address
2500 ELMS CENTER RD, N CHARLESTON, SC 29406-9844
(843) 572-7727
(843) 569-5881
Mailing address
PO BOX 118008, N CHARLESTON, SC 29423-8008
(843) 572-7727
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
951
SC
133V00000X
Registered Dietitian
Primary
951
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1038
—
SC
Enumeration date
10/06/2011
Last updated
09/21/2015
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